NoYes, and you can leave a message or send a textYes, but do not leave a message or send a text

Please tell us about any dietary requirements that you may have *

Please only book this event if you are not attending the September Living Proof Weekend. *

I will pay the full price of £15 to secure my place.

Payment method (when making the payment you MUST use your name as the reference. If you are not sure how to do this, please visit http://www.nltsg.org.uk/bacs-payments.html) *

NLTSG will not process your booking until payment has been received or we have official confirmation that another agency is paying for your place. *

I understand.

Do you require a receipt? *

NoYes

Monitoring Data

By completing the monitoring questions, you are assisting us in getting a better understanding of who attends the weekends. Your answers will not affect how you are treated at the weekends. If you do not wish to disclose any of the information, select the "Prefer not to say" option.

Ethnic origin *

Sexuality *

Relationship Status *

Employment status *

Gender *

Religious beliefs *

Year of birth *

Year of diagnosis *

Notes, terms and conditions

Payment of £15 is non refundable in the event you are unable to attend

We are unable to make travel or accommodation arrangements for you for this event. Only people attending the Living Proof Weekend will have accommodation at Shallowford House.

NLTSG will not pay for taxi fares or other travel expenses for this event.

Similarly, NLTSG will not organise transport back to the station after the event. .

We cannot finally confirm your place until we have received full payment. You must pay before 31st August 2017. You cannot bring the payment with you.​

Your place will be confirmed on the 1st September 2017 as part of a bulk email sent via MailChimp. Your details will not be shared with other attendees.

I confirm that I have read the notes, terms and conditions, and I accept them in full. *